Healthcare Provider Details

I. General information

NPI: 1225160609
Provider Name (Legal Business Name): ADAM DANIEL FRIEDLANDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 NORTHSIDE FORSYTH DR NORTHSIDE EMERGENCY ASSOCIATES
CUMMING GA
30041-7659
US

IV. Provider business mailing address

1000 JOHNSON FERRY RD NE NORTHSIDE EMERGENCY ASSOCIATES
ATLANTA GA
30342-1606
US

V. Phone/Fax

Practice location:
  • Phone: 404-851-6936
  • Fax:
Mailing address:
  • Phone: 404-851-6936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number65665
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: